Provider Demographics
NPI:1639729015
Name:THERAPY TO ME
Entity Type:Organization
Organization Name:THERAPY TO ME
Other - Org Name:THERAPY TO ME, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:R
Authorized Official - Last Name:ERICH
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:707-684-9700
Mailing Address - Street 1:136 BRIDGEVIEW PL
Mailing Address - Street 2:
Mailing Address - City:PORT LUDLOW
Mailing Address - State:WA
Mailing Address - Zip Code:98365-9214
Mailing Address - Country:US
Mailing Address - Phone:707-684-9701
Mailing Address - Fax:
Practice Address - Street 1:136 BRIDGEVIEW LN
Practice Address - Street 2:
Practice Address - City:PORT LUDLOW
Practice Address - State:WA
Practice Address - Zip Code:98365-9214
Practice Address - Country:US
Practice Address - Phone:707-684-9701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-17
Last Update Date:2023-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty